tendon. In this research, the mobilization that provided tothe tendon that has been
spliced in the form of providing the load continuously, it will give action and
tendons are interested to form a gap, even experience rupture again. In this
research, the difference of tendon before and after sutured, is assessed in the
analysis II, the analysis is to identify the leffectiveness level of sutures
tendon
prepost test
0,2 cm so that includes in category of quite effective.
The effectiveness or success in the implementation of orthopedic surgery,
especially in the tendon grafting, depending on the sutures technique,
which is used. However, the use of the sutures technique should pay attention to
the situation, the conditions and the shape or size of the tendon itself Surya,
techniques. As we know that function is 2004.
In this research Samu as shortening the muscle tendon, the
tendon moves to point to the bottom of the foot. This is the action that allows a
Modification techniques SM includes in category of quite effe0ctive in
connecting tendons so that it can be used person to stand on ones feet, run, jump,
in surgery, especially orthopedic
walk normally, and to go up and down stairs, in addition to the function is to
bend and stretch the tendon all joints and muscles to hold the bone. Without
tendons, muscles will just be a large gathering in the field and will not be
able to move. So the greater the adhesion, the more interrupted the
process of gliding or the movement of the tendon. If that happens then the
function of the tendon will not be optimal. In this research adhesion that
formed in Samu Modification techniques SM is quite large when
compared with Kessler Modification technique SM. The good splicing of
the tendon will either be able to restore the continuity of the tendon without
causing adhesions or adhesions between the tendosn with tissue surrounding the
tendon, and form of connections that could hinder the tendon gliding. The
success of tendon grafting surgery, and rehabilitation or tendon healing process,
especially the formation of adhesions, which was instrumental is the torn of
tendon sheath, sutures techniques and mobilization. The more severe the
tendon tear, the more possibility the formation of adhesion in tendon that
has been sutured.
6. Effectiveness of Samu Modification SM suture technique
Based on Table 5.7 can be known that of all samples that exist in the
treatment group, Samu Modification techniques SM most has different in
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surgery. The effectiveness of this sutures technique is assessed from the formation
or changes in diameter. The tendon sutures technique is said to be effective
if the change in diameter before and after sutured is minimal, so as to
prevent the adhesion formation in the tendon. The formation of tendon
diameter was one caused by the formation of a connection. The bigger
the gap connection is formed, the greater the possibility of adding diameter are
formed. This is caused by the discharge of immature tissue from the tendon itself
and formed adhesions or adhesions with existing tissues around the tendon. In
this research, the suture technique of Samu Modification SM includes in
category of effective, that if we compare it with Kessler Modification technique
KM, the result is Kessler Modification technique KM is more
effective. According to researchers it happened because in this research, the
sample used was roaster with its tendon size is much smaller than the size of a
human tendon, so that the thread that used should use a smaller size.
However, Samu Modification techniques SM has a its own advantage
that an atraumatic and simple techniques making it easier for the nursing
profession or other surgeons to do so. Considering the tendon rupture cases
that including the critical cases , then requiring critical action that is fast and
precise, so that for the researchers, this Samu Modification techniques SM is
suitable as an alternative in handling cases of tendon rupture.
physiological and adequate, the fine instrument , workplace is free of blood,
suture material that is unreactive, strong,
7. Diameter of Tendon Pre-
not delayed, it can easily be made the
Post technique of
Kessler tight suture, tendon suture technique is
Modification KM
Based on Table 5.10 can be known that of all samples that exist in the
treatment group, Samu Modification techniques SM most has different of
pre post diameter 0,1 cm.
Various experimental studies and clinical trials previously concluded that
strong and does not cause a blockage of blood flow and does not disturb the
tendon gliding, does not injure the blood vessels around the tendon, treatment by
a specialist or surgeon, good lighting and assistants who can well-cooperated
Surya, 2004.
According to the researchers, the early mobilization of the tendon that has
technique of tendon sutures Kessler
been spliced, would decrease the
Modification KM is an effective occurrence of tendon adhesion with the
surrounding tissue and will repair the technique in tendons grafting, this is
caused by the minimal adhesion tendon
gliding. However,
early formation due to changes or additions
mobilization will cause the connection diameter tendon which is minimal, so
gap gap formation
greater that many surgeons, especially surgical
facilitates re-rupture Surya, 2004. Changes in diameterwhich is
formed on the tendon with Kessler Modification techniques KM is quite
minimal, this is caused by the closing or lack of tendon gap connection that are
formed, making it impossible to grow new tissue in the surrounding tendons
and reduce the formation of tendon adhesion, and does not disturb the
tendon gliding. Thus Kessler Modification technique KM is very
safe to use in surgery, particularly orthopedic surgery, because in this
research the Kessler Modification technique KM including in effective
category, this is due to the minimal change in the diameter of the tendon.
8. Effectiveness of Kessler Modification KM suture technique
Based on the table 5:10, it is known that of all samples that exist in the
treatment group Kessler Modification techniques KM, most of the difference
tendon in test prepost 0.1 cm so include in effective category.
The basic principle for the success or effectiveness of the technique of
tendon sutures, is a surgical technique atraumatic which include: the way of
work is smooth gentle, the use of a magnifying glass, incision that
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orthopedic using this technique, in addition to many researchers are also
using this technique as a comparison technique with other techniques, this is
because the technique of Kessler Modification KM is include in
effective category.
9. Comparison of suture tendon strength between Samu Modification SM
technique and Kessler Modification KM technique
From the research ranking the strength of the tendon connections in
Kessler Modification technique SM = 10, while Samu Modification techniques
SM = 90, so the technique of Samu Modification SM is stronger than the
Kessler Modification technique KM. Statistical tests to prove the significance
of this comparison value þ α 0.00 0.05, which means that H1 is accepted
meaning that there are significant comparisons on the strength of the
tendon sutures between Samu Modification techniques SM with
Kessler Modification technique KM.
According to Surya 2004 tendon suture strength is determined by several
factors: the type of yarn, thread strength and technique or type of suture. By
subject, tendon suture technique is satisfactory is the maximum tensile
